Ibrahim Aden
Individual provider Active NPI Behavior Technician · Faribault, MN
NPI 1053131102 · NPPES record last updated Oct 14, 2024
Key facts
- NPI
- 1053131102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 713 1St St NW
Faribault, MN 55021-5011 - Phone
- (651) 399-7341
- NPI assigned
- Oct 14, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
713 1St St NW
Faribault, MN 55021-5011
Mailing address
713 1St St NW
Faribault, MN 55021-5011
Other providers in Faribault, MN
- Fatuma Adan
- Ilyas Adan
- Kelsi Addabbo
- Abdullahi Aden
- Fardosa Aden
- Ruweyda Aden
- Yussuf Aden
- Erik Michael Adolphson
- Advanced Foot & Ankle Clinic LLC
- Advanced Hearing Inc
All providers in Faribault, MN · Behavior Technician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.